ASBESTOS HAZARD TRAINING Medical Component

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ASBESTOS HAZARD TRAININGMedical Component
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Why Have AMSP?(ASBESTOS MEDICAL SURVEILLANCE
PROGRAM)

• Each Command shall ensure that contractors
  are aware of potential hazard and shall maintain
  strict compliance with 29 CFR 1926.1101 Asbestos
  Standard.

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Regulatory Compliance

• 29 CFR 1910.1001
• OPNAVINST 5100.23 series
• 29 CFR 1926.1101

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When does surveillance start?

• If potential over-exposure exists, it is
  necessary to begin air monitoring, employee
  training, and medical surveillance.
• Industrial Hygiene surveys and reviews will
  identify those employees that needs to be
  monitored for current or past exposure.
• Personnel known to have been exposed to
  airborne concentration above the PEL shall be
  notified in writing of the exposure 5 days after
  the finding.

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How Asbestos Enters The Body

• By INHALATION
• By INGESTION
• In the body, asbestos fibers
• can become embedded in the
• tissues of the respiratory tract or
• the digestive system. There have
• been cases of 20-40 years of latency
• before malignancy appears. 3 distinct
• diseases can be caused by inhalation or
• ingestion. They are

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MESOTHELIOMA

• A rare malignant tumor of the lung membrane
  which lines the chest and abdominal cavity.

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ASBESTOSIS

• A progressively restrictive fibrosis of the lung
  and is recognized as a disabling and fatal
  occupational disease.
• Definition of FIBROSIS
• A condition marked by the increase of
  connective, fibrous tissue.

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BRONCHIAL LUNG CANCER

• Malignant tumor of the bronchial tubes, this
  disease is more common than the following two.

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Health Hazards of Asbestos and Tobacco

• Asbestos workers who smoke have a 50 times
  greater chance of getting lung cancer than those
  who do not smoke.

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Medical Surveillance Program

• All personnel upon assignment to a work activity
  involving potential exposure to asbestos shall
  have a medical evaluation. The evaluation shall
  be performed prior to the assignment and shall
  include the following

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Evaluation elements

• Occupational and medical history detailing prior
  exposure to potentially harmful respiratory
  hazards
• Chest examination
• Posterior/anterior chest X-ray (B-readers)
• Pulmonary function tests including forced
  expiratory volume in one second (FEV1) and forced
  vital capacity (FVC)

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Periodic and Termination Evaluations

• A medical evaluation equal to the
  pre-placement evaluation shall be conducted in
  accordance with the medical surveillance
  schedule
• Years since first Age
  of employee
• asbestos exposure
• 15-35 35-45 45
• 0 - 10
  Every 5 yrs 5 yrs 5 yrs
• 10
  Every 5 yrs 2 yrs 1 yr

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Physicians Written Opinion

• Opinion concerning any detected medical
  condition that would place the employee at an
  increased risk due to exposure to asbestos.
• Any recommendation for limitations on the
  employee or upon the use of protective equipment.
• A statement that the employee has been informed
  by the physician of the results of the evaluation
  and of any medical conditions resulting from
  asbestos exposure that require further
  explanation or treatment.
• The signed opinion will be placed in the
  employees health record and copies provided to
  the employee and the employee's command within 30
  days of the evaluation.

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Medical Records

• All personnel who are included in the AMSP
  shall have the exterior of their health records
  and X-ray jackets prominently marked "Asbestos.
• All Asbestos medical records are kept for
  50 years.

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T r a i n i n g for Employees

• The health effects and hazards of asbestos
• Association between the use of tobacco and
  asbestos exposure in producing lung cancer
• Uses of asbestos which could result in an
  exposure
• Engineering controls and work practices
  associated with an employees' work assignment

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More training information

• Purpose, proper use, and limitations of
  protective equipment
• Purpose and description of
• medical surveillance
• Description of emergency and cleanup procedures
• Overall review of OPNAVINST 5100.23
• Series, Chapter 17 and the command/activity
  instruction concerning asbestos.

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Be sure to Remind Employees Working with Asbestos
They Shall Not

• Eat / Drink
• Chew tobacco
• Chew gum
• Smoke
• Apply cosmetics
• IN THE WORK AREA.

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QUESTIONS??